Provider Demographics
NPI:1063629574
Name:ZAIL S. BERRY, MD,MPH,PLLC
Entity Type:Organization
Organization Name:ZAIL S. BERRY, MD,MPH,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAIL
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD,MPH
Authorized Official - Phone:802-879-6661
Mailing Address - Street 1:PO BOX 8671
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:VT
Mailing Address - Zip Code:05451-8671
Mailing Address - Country:US
Mailing Address - Phone:802-879-6661
Mailing Address - Fax:802-879-9261
Practice Address - Street 1:3 HAGAN DR
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3375
Practice Address - Country:US
Practice Address - Phone:802-879-6661
Practice Address - Fax:802-879-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVN3479Medicare ID - Type Unspecified